Frank Krysa, Building Inspector
David Drugge, Assistant Building Inspector
Office Hours: Town Hall Tues., 6:30 to 7:30 p.m. 978-779-2297
(except Tuesday, May 13 & 20, 2008 - hours will be 7:45 to 8:30 p.m.)
Emerson School, 50 Mechanic Street: Saturday, 8:30 to 10:00 a.m. 978-779-3312
BUILDING PERMIT APPLICATION PACKAGE
SUBMITTAL REQUIREMENTS
The following documents and information shall be presented to the Building Inspector as part of the application for a building permit.
APPLICATIONS FOR A BUILDING PERMIT MUST BE MADE IN PERSON TO THE BUILDING INSPECTOR. LICENSED CONTRACTORS ARE OBLIGATED TO OBTAIN PERMITS FOR ALL CONTRACTED WORK. HOMEOWNERS MAY OBTAIN THEIR OWN PERMITS WHEN DOING THE WORK.
Items 1 through 10 below shall be submitted in person to the Building Inspector at the Bolton Town Hall during office hours. (see attached sheet). Failure to provide any of the listed items or information will result in the application being deemed incomplete. Allow at least two (2) weeks from the date of completion for issuance of the building permit.
In all cases where work covered by a building permit application involves a variance issued by the Zoning Board of Appeals (ZBA), or a special permit issued by any special permit granting authority (SPGA), or an Order of Conditions issued by the Conservation Commission, or any other document required to be recorded, proof of recording at the Worcester Registry of Deeds shall also be required as part of the application submittal.
1. APPLICATION FORM: Each application form shall be filled out completely and signed by both the homeowner and the builder.
2. FEE: A check payable to the Town of Bolton covering the cost of the building permit, as determined by the Building Inspector.
3. WORKER’S COMPENSATION AFFIDAVIT: This affidavit shall be fully completed and signed if a contractor is conducting the work. The required certificates shall be attached.
4. BUILDING PLANS AND SPECIFICATIONS: Three (3) copies of the complete detailed building plans and specifications shall be submitted and must contain the owner’s name, address, date of submittal, subdivision lot number, street, and house number. Further, the plans shall show all smoke detectors as required by the Massachusetts State Building Code. If the plans include the LVL’s, paralams or steel beams, all calculations, signed and stamped by a structural engineer, shall be submitted along with the plans.
5. SEPTIC SYSTEM PERMIT: This permit shall be current and valid, signed by the Board of Health, and designed for applicable lot and house.
6. WATER TEST RESULTS: A copy of the complete chemical analysis, as required by the Board of Health, showing that potable water is available.
7. STREET NUMBER & DRIVEWAY PERMIT: The street number is assigned by the Building Inspector before the driveway permit is issued. A copy of the driveway permit must be provided. In the case of a Common Driveway each application shall include a copy of the Common Driveway permit as recorded at the Registry of Deeds, and a lot release signed by the Planning Board.
8. ENERGY AUDIT: As required by the Massachusetts State Building Code for heated spaces, the energy audit shall contain project address and name of person performing the audit. The audit shall be submitted on the attached form and signed by the individual performing the audit.
9. PLOT PLAN: For new construction a plan of the buildable lot, either an ANR plan signed by the Planning Board or the applicable sheet from an approved subdivision plan or backland lot plan shall be provided.
10. REVIEW AND APPROVAL BY OTHER DEPARTMENTS: The following departments or boards must review and sign off on all applications. It is the responsibility of the applicant to obtain these reviews and signatures. The applicant must submit copies of the latest supporting documents (permits, orders of conditions, septic system approvals, etc.) with the application. Any application missing any of these signatures will be deemed incomplete and returned to the applicant. If any of these reviews is not applicable, the department or agent should so indicate and sign.
a. Board of Health: Reviewed under Board of Health Rules and Regulations.
b. Conservation Commission: Reviewed under the Massachusetts Wetlands Protection Act, the Bolton Wetlands Bylaw, the Water Resource Protection District (WRPD) Bylaw, and applicable regulations; attach copies of the Determination of Applicability or Order of Conditions, WRPD special permit, and any conservation restrictions and/or easements, if applicable.
c. Planning Board: Reviewed under Rate of Development bylaw and Subdivision Control and additional Rules And Regulations.
01-27-06
TOWN OF BOLTON
BUILDING PERMIT APPLICATION FORM
Date:_________ Estimated Cost:_____________
Project Location Street Address___________________________________________________
Unit No._________ Subdivision Name and/or Lot No._________________
Assessor Map No.________ Assessor Parcel No.________
Lot Frontage___________ ft. Lot Area___________sq. ft., or _____________ acres
Type of Lot: Standard____ Backland_____ FOSPRD_____
Setbacks, ft.: Front__________ Rear__________ Right Side________Left Side______
Purpose of Construction (check all that apply):
New Dwelling___ Addition___ Alteration___ Garage___ Shed____
Porch___ Deck___ Barn___ Siding___ Roofing ___
In-ground Pool___ Above ground Pool___ Accessory Apartment___
Industrial___ Commercial___ Other___
Explanation: __________________________________________________________________
____________________________________________________________________________
Type of Driveway:
Private____ Shared____ Common____ Special Permit: Yes___ No___
Zoning District:
Residential____ Business____ Limited Business____
Limited Recreation Business____ Water Resource Protection____
Total Square Footage:
1st floor_____ 2nd floor_____ 3rd floor_____ Finished Basement______
Basement_______ Deck__________ Porch__________ Garage__________; No. of Cars____
No. of Stories ___ No. of Rooms ___ No. of Baths ___ No. of Bedrooms ___
No. of Fireplaces___ Garage Attached___ Detached___ Under_____
Owner’s Name______________________ Mailing Address_____________________________
City/Town__________________________ State & ZIP_______________ Phone__________
Owner’s Street Address_______________ City/Town______________ State & ZIP_______
Builder’s Name______________________ Mailing Address____________________________
City/Town__________________________ State & ZIP______________ Phone___________
_______________________________________________________________________________________
Over......................
Signatures of Reviewing Departments (MUST BE OBTAINED BY APPLICANT PRIOR TO SUBMITTING APPLICATION):
Conservation Commission:__________________________ Date:_______________________
Comments:_________________________________________________________________
________________________________________________________________
__________________________________________________________________
Board of Health:__________________________________ Date:_______________________
Comments:_______________________________________________________________
_____________________________________________________________________
_______________________________________________________________________
Planning Board:___________________________________ Date_______________________
Comments:_________________________________________________________________
________________________________________________________________________
_________________________________________________________________________
______________________________ __________________
Signature of Owner (required) Date
______________________________ __________________
Owner’s Name (Print) Date
*I understand that no work, authorized under the permit approved under this application, shall commence until said permit is duly posted as required by the State Building Code.
______________________________ __________________ _____ _____
*Signature of Builder (required) Date CSL HIP
______________________________ __________________ _____ _____
Builder’s Name (Print) Date CSL HIP
FOR USE BY BUILDING INSPECTOR ONLY--DO NOT WRITE IN THIS SPACE
Septic__ Water__ Driveway__ Energy__ Smoke Detectors__ Plot Plan__ FEE: ______
Building Inspector’s Signature: _______________________ Reviewed: _______________
Form 01-27-06
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